The Senate Republicans’ Better Care Reconciliation Act of 2017 (BCRA) would partially repeal and replace Obamacare and make major changes in the Medicaid program. The bill would secure a significant federal entitlement reform by addressing a central health policy issue: the structure, function, and financing of the Medicaid program. It would achieve three major policy goals: reform the entitlement, redirect Medicaid funding to the poorest and most vulnerable members of society, and provide greater authority and flexibility to state officials to manage their own Medicaid programs.